RFP 240000001827 - Schedule B - Pricing.docx

DOCX document 51 KB Posted

Attached to
Long Term Services & Supports Eligibility and Quality Review
Solicitation number
RFP - 171 - 240000001827
Issued by
Ingham County, Lansing City, Michigan

About this file

This document is a pricing schedule for a Request for Proposal (RFP) issued by the Michigan Department of Health and Human Services (MDHHS) for Statewide Medicaid Long Term Services and Supports Eligibility and Quality Reviews. The projected annual volumes include 800 Verification Reviews, 372 Secondary Reviews, 50 hours of Verification/Secondary Review Appeals, 120 hours of Home Help EHHS Reviews, and 1,080 hours of Home Help Quality Reviews. The contract will be awarded for one year with the option to renew for up to two additional one-year terms.

The pricing schedule requires the contractor to provide unit prices for each of the contract activities. Contractors are encouraged to offer quick payment terms with a percentage discount if invoices are paid within a certain number of days. The contract will be paid based on the number of reviews completed the previous month, with all review payments including the medical/case record review. The Appeal Process for all reviews will be paid separately, even though the contractor will receive payment upon completion of all reviews.

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Other files

File Type Posted
RFP 240000001827 - Attachment I - Action Notices.docx DOCX document
RFP 240000001827 - Schedule F - HIPAA Business Associate Agreement.docx DOCX document
RFP 240000001827 - Schedule D - Service Level Agreement for Hybrid Purchases.docx DOCX document
RFP 240000001827 - Attachment G - Policy Decision Document.docx DOCX document
RFP 240000001827 - Standard Contract Terms - Federal Provisions - Byrd.docx DOCX document
RFP 240000001827 - Attachment J - Administrative Hearing Pamphlet.pdf.crdownload CRDOWNLOAD file
RFP 240000001827 - Attachment C - LOCD Field Definitions Guidelines.pdf PDF
RFP 240000001827 - IMPORTANT NOTICE.docx DOCX document
RFP 240000001827 - Attachment E - Adult Services Comprehensive Assessment.pdf PDF
RFP 240000001827 - Attachment H - Hearing Request.doc DOC document
RFP 240000001827 - Attachment D - Adult Services Manual.pdf PDF
RFP 240000001827 - Attachment F - Home Help Worksheet Nurse Review.docx DOCX document
RFP 240000001827 - Attachment A - LTSS Definitions.docx DOCX document
RFP 240000001827 - Schedule E - Data Security Requirements for Hybrid Purchases.docx DOCX document
RFP 240000001827 - Schedule A - Statement of Work.docx DOCX document
RFP 240000001827 - Attachment J - Administrative Hearing Pamphlet.pdf PDF
RFP 240000001827 - Schedule C - Insurance Requirements.docx DOCX document
RFP 240000001827 - Attachment B - Medicaid Provider Manual.pdf PDF
RFP 240000001827 - Proposal Instructions - Confidential Treatment - Vendor Questions.docx DOCX document
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Michigan.gov/MiProcurement Enter company name here

SCHEDULE B PRICING

Request for Proposal No. 240000001827 Statewide Medicaid Long Term Services and Supports Eligibility and Quality Reviews for MDHHS

1. The Contractor must provide a pricing schedule for the proposed Contract Activities using the template below. The pricing schedule should be submitted in a modifiable format (e.g., Microsoft Word or Excel); however, you may also submit an additional pricing schedule in a non-modifiable format (e.g., PDF). Failure to complete the pricing schedule as requested may result in disqualification of your proposal.

2. Price proposals must include all costs, including but not limited to, any one-time or set-up charges, fees, and potential costs that Contractor may charge the State (e.g., shipping and handling, per piece pricing, and palletizing).

3. The Contractor is encouraged to offer quick payment terms. The number of days must not include processing time for payment to be received by the Contractor's financial institution.

Quick payment terms: % discount off invoice if paid within days after receipt of invoice.

4. By submitting its proposal, the Contractor certifies that the prices were arrived at independently, and without consultation, communication, or agreement with any other Contractor.

5. The payment schedule will be based on the number of Verification Reviews, Secondary Reviews, and LOCD post-payment reviews completed the previous month of the contract. The invoice is due by the 5th day of the month following of completion (ex: January’s reports must be received by February 5th, etc.). All review payments will include the medical/case record review. The Appeal Process for all reviews will be paid separately. Although the Contractor will receive payment upon completion of all reviews, the Contractor is still required to participate in the Appeal Process even though payment has been received.

Contract Activity
Projected Volume (estimated)
Total Annual (estimated)
Unit Price
One Year Pricing
Three Year Pricing
Verification Review
67/month
800
$
$
$
Secondary Review
31/month
372
$
$
$
Verification/Secondary Review Appeals
4 hours/month
50 hours
$/per half hour
$
$
Home Help EHHS Review
20 reviews/ annually
120 hours
$/per half hour
$
$
Home Help Quality Review
180 reviews/annually
1080 hours
$/per half hour
$
$

GRAND TOTAL

$
$

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